In response to heightened insecurity and ongoing crisis conditions in North East Syria and Erbil, a targeted psychosocial support program was implemented for national and international staff of Médecins du Monde – Spain (MdM Spain). The program was designed to alleviate psychological distress, enhance personal resilience, and offer direct clinical support during an especially demanding period for humanitarian workers.

The initiative unfolded in three phases: initial psychological assessment, delivery of individualized interventions, and structured follow-up. A total of 40 staff members participated in the program, with both local and international employees receiving support. In addition, three family members were assessed on a pro bono basis, further extending the program’s impact.

Initial assessments explored well-being across four core dimensions: self-esteem, interpersonal relationships, coping strategies, and outlook on the future. The Global Check Set (GCS) tool was also used to help identify psychological challenges, including depression, anxiety, dissociation, somatization, substance use, and suicidality. While no cases of suicidal intent were reported, a significant number of participants shared experiences of emotional fatigue, chronic stress, and fear.

Based on the assessment findings, personalized treatment plans were developed for each participant. Most individuals attended at least one follow-up session, with several engaging in continued support. The therapeutic interventions emphasized three primary areas. First, resiliency skills were cultivated by exploring meaning-making and incorporating faith-based coping strategies, which many staff identified as important. Second, self-care techniques such as deep breathing, positive self-talk, and guided relaxation were introduced and practiced. Finally, staff were supported in strengthening interpersonal relationships and navigating conflict in both professional and personal settings.

Ongoing follow-up sessions helped track individual progress and reinforce the use of effective coping strategies. The program not only addressed immediate emotional needs but also contributed to longer-term well-being and resilience among humanitarian staff working under immense pressure.